<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <meta http-equiv="X-UA-Compatible" content="ie=edge">
    <link rel="stylesheet" href="css/reset.css">
    <link rel="stylesheet" href="css/cases_details.css">
    <link rel="stylesheet" href="css/case_modification.css">
    <link rel="stylesheet" href="font-awesome-4.7.0/css/font-awesome.min.css">
    <title>病历添加</title>
</head>

<body>
    <div class="prev">
        <a href="cases_details.html">
            <em class="no_active">病历查看</em>
        </a>
        <a href="case_query.html">
            <em class="active">添加病历</em>
        </a>
    </div>
    <div class="wrap">
        <div class="top">
            <span class="top-left">病历夹</span>
            <a class="top-right" href="case_modification.html">
                <i class="fa fa-pencil"></i>修改信息
            </a>
        </div>
        <div class="line">
            <hr>
        </div>
        <div class="content">
            <!-- 左边 -->
            <div class="cont-left">
                <span>患者姓名</span><br>
                <input type="text" value="" class="name">
                <span>性别</span>
                <span class="cont-age">年龄</span><br>
                <select name="" id="" class="sex">
                    <option value="男">男</option>
                    <option value="女">女</option>
                </select>
                <input class="age" type="text" value="34"><br>
                <span>就诊日期</span><br>
                <select name="" id="" class="year">
                    <option value="请选择">请选择</option>
                    <option value="2018">2018</option>
                    <option value="2019">2019</option>
                </select>&nbsp;年&nbsp;
                <select name="" id="" class="month">
                    <option value="请选择">请选择</option>
                    <option value="10">10</option>
                    <option value="9">9</option>
                </select>&nbsp;月&nbsp;<br>
                <span>联系电话</span>
                <div class="tel">155 8888 9999</div>
                <span>地址</span>
                <input class="add" value="">
            </div>
            <!-- 中间 -->
            <div class="cont-center">
                <span>就诊科室</span><br>
                <input class="department" value="外科"><br>
                <span>病情描述</span><br>
                <textarea class="describe"></textarea><br>
                <span>过敏史</span><br>
                <input class="department" value=""><br>
                <span>诊断医生</span><br>
                <input class="department" value=""><br>
            </div>
            <!-- 右边 -->
            <div class="cont-right">
                <span>用药详情</span><br>
                <textarea class="details"></textarea><br>
                <span>备注</span><br>
                <textarea class="note"></textarea><br>
                <span>上传诊断报告</span>
                <div class="report">
                    <img src="img/upload.png" alt="">
                    <span>点击上传诊断证明</span>
                </div>
            </div>
        </div>
        <div class="bottom">
            <div class="save pub">保存</div>
            <div class="cancel pub">取消</div>
        </div>
    </div>
</body>

</html>